Medical Business Office Billing Specialist

JOB TITLE: Billing Specialist

GENERAL SUMMARY OF DUTIES:

Responsible for obtaining managed care authorizations and verifying patient insurance benefits.

ESSENTIAL FUNCTIONS:

• Determining when authorization is needed
• Requesting authorization from PCP/Health Plan/other
• Insuring authorizations are up to date
• Entering authorizations into EHR
• Scanning and linking authorizations to the patient's chart
• Maintains optimal patient, referring physician and insurance company satisfaction
• Analyzing utilization data from health plans' claims as required
• Answer incoming telephone calls and directing them to the appropriate department
• Processing insurance verification for pending procedures
• Patient Account follow up
• Posting payments to patient accounts
• Other items as assigned by manager(s)

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.